Form 139 Medical Exemption Request - Mississippi

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Form 139 Medical Exemption Request - Mississippi

What Is Form 139?

This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 139?
A: Form 139 is a Medical Exemption Request form in Mississippi.

Q: What is the purpose of Form 139?
A: The purpose of Form 139 is to request a medical exemption in Mississippi.

Q: Who can use Form 139?
A: Anyone in Mississippi who needs a medical exemption can use Form 139.

Q: Are there any fees associated with submitting Form 139?
A: No, there are no fees associated with submitting Form 139.

Q: What should I include in my Form 139?
A: You should include necessary medical documentation and information to support your medical exemption request.

Q: How long does it take for the Medical Exemption Request to be processed?
A: The processing time for a Medical Exemption Request may vary, so it's best to contact the Mississippi Department of Revenue for more information.

Q: Can I appeal if my Medical Exemption Request is denied?
A: Yes, you can appeal a denial of your Medical Exemption Request with the Mississippi Department of Revenue.

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Form Details:

  • Released on July 15, 2020;
  • The latest edition provided by the Mississippi Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 139 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.

Download Form 139 Medical Exemption Request - Mississippi

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